Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,497.23 / $1,561.09 / $4,846.00	Facility		$1,497.23	$1,561.09	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.06 / $1,561.09 / $2,014.32	Professional		$1,350.06	$1,561.09	$2,014.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,463.69 / $24,214.00 / $45,778.00	Facility		$2,463.69	$24,214.00	$45,778.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,498.38 / $2,463.69 / $3,399.90	Professional		$1,498.38	$2,463.69	$3,399.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,241.60 / $1,582.44 / $1,825.89	Facility		$1,241.60	$1,582.44	$1,825.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,241.60 / $1,460.71 / $1,825.89	Professional		$1,241.60	$1,460.71	$1,825.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,358.35 / $2,121.15 / $5,035.33	Professional		$1,358.35	$2,121.15	$5,035.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $5,242.00 / $10,843.00	Facility		$1,403.00	$5,242.00	$10,843.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,310.28 / $1,782.54 / $3,442.90	Professional		$1,310.28	$1,782.54	$3,442.90